NPI | 1205840600 |
---|---|
Former Name | ELIZABETH E VERGOZ-REKIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 4253) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 0117161) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2021-08-24 |